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A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Emotionally Disturbed Children |
322D00000X |
| NPI # | 1982011649 |
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| LBN Legal business name | TEEN DISCOVERY HOME | ||||
| Authorized official | CHARLOTTE DIAMOND - (OWNER/PROGRAM DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/15/2014 | ||||
| Last updated | 07/15/2014 - About 12 years ago | ||||
| Identifiers |
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TEEN DISCOVERY HOME
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TEEN DISCOVERY HOME